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Prevalence and Factors Associated with Nocturnal Enuresis Among Children Aged 6-14 Years in Mogadishu: A
Arif Sayid Ali Mayow1, Abdifatah Hassan Elmi1, Mahad Sadik Mukhtar2
1Department of Medicine and Surgery, Al Hayat Medical University, Mogadishu, Somalia.
Insights
Nocturnal enuresis (NE) affects 31.9% of children in Mogadishu, Somalia. Key risk factors include younger age, male sex, low parental education, and medical issues like constipation and UTIs, highlighting the need for targeted interventions.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Nocturnal enuresis (NE) is a common childhood condition with multifactorial causes including genetics, developmental delays, and behavioral factors.
- Understanding the prevalence and associated factors of NE is crucial for developing effective management strategies.
Purpose of the Study:
- To determine the prevalence of nocturnal enuresis (NE) in children aged 6-14 years in Mogadishu, Somalia.
- To identify sociodemographic, behavioral, and medical factors associated with NE in this population.
Main Methods:
- A hospital-based cross-sectional study involving 320 children attending pediatric outpatient departments.
- Data collection via structured questionnaires administered to caregivers, followed by logistic regression analysis.
Main Results:
- The prevalence of NE was 31.9%.
- Significant associated factors included younger age (6-8 years), male sex, low parental education, pre-bedtime fluid intake, psychosocial stress, constipation, urinary tract infections, and a positive family history of NE.
- Deep sleep was found to be a protective factor (AOR = 0.170).
Conclusions:
- Nocturnal enuresis is highly prevalent in Mogadishu children, linked to various risk factors.
- Findings underscore the importance of early screening, parental education, and tailored interventions for NE management.
- Further multi-center and qualitative research is recommended for a comprehensive understanding and improved care in Somalia.
Purpose:
Nocturnal enuresis, or enuresis during sleep, is a widespread condition in childhood influenced by genetic factors, delayed development of bladder control, and various behavioral factors. The main objective of the study was to determine the prevalence and factors associated with nocturnal enuresis among children aged 6-14 years who attended selected hospitals in Mogadishu, Somalia.
Patients And Methods:
A hospital-based cross-sectional study was conducted among 320 children attending pediatric outpatient departments at Banadir and SOS Hospitals. Data were collected using structured questionnaires administered to caregivers. Logistic regression analysis was used to identify factors associated with NE, and adjusted odds ratios (AOR) with 95% confidence intervals (CI) were reported.
Results:
The overall prevalence of nocturnal enuresis was 31.9%. Significant factors associated with NE included younger age (6-8 years: AOR = 4.228; 95% CI: 1.768-10.113), male sex (AOR = 6.456; 95% CI: 3.041-13.709), low parental education (AOR = 3.567; 95% CI: 1.385-9.185), drinking fluids before bedtime (AOR = 4.555), psychosocial stress (AOR = 3.742), constipation (AOR = 5.708), urinary tract infection (AOR = 7.211), deep sleep (AOR = 0.170), and a positive family history of NE (AOR = 10.076; 95% CI: 4.658-21.800).
Conclusion:
Nocturnal enuresis is highly prevalent among children in Mogadishu and is significantly associated with various sociodemographic, behavioral, and medical factors. These findings highlight the need for early screening, parental education, and targeted interventions. Further multi-center and qualitative studies are recommended to improve understanding and management of enuresis in Somalia.
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